Dental Board of California
Licensing details for: 41114
Name: MAZDEYASNAN, AFSHIN
License Type: Dentist
Primary Status: Current - Active
Address of Record
18250 ROSCOE BLVD
STE 345
NORTHRIDGE CA 91325
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: AFSHIN MAZDEYASNAN, DDS, A PROFESSIONAL DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 8680 Primary Status: Cancelled
Address :
18250 ROSCOE BLVD., STE. 345
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CALIFORNIA DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 2937 Primary Status: Cancelled
Address :
2040 GLENOAKS BLVD #F
SAN FERNANDO CA 91340
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MID VALLEY ENDODONTICS, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5866 Primary Status: Current - Active
Address :
18250 ROSCOE BLVD, STE 345
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CALIFORNIA DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 2937 Primary Status: Cancelled
Address :
2040 GLENOAKS BLVD #F
SAN FERNANDO CA 91340
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MID VALLEY ENDODONTICS, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5866 Primary Status: Current - Active
Address :
18250 ROSCOE BLVD, STE 345
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
